
FULL UPPER POLE & DECOLLETE
Having a beautiful full breast with intense cleavage is a dream for many women. Discover the most modern and scientific method for a natural and harmonious breast lift-augmentation. Dr. Ektor is considered an one of the best plastic surgeons in Greece specializing in breast surgery. Through many years of experience Dr. Ektor has perfected his approach to breast augmentation, by combining precise 3D preoperative design with the use of advance techniques and cutting-edge technology breast implants. The knowledge and expertise of Dr. Ektor on breast surgery, the systematic and detailed approach he follows, as well as his human-centered nature exude confidence and self-confidence in every patient.




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DUAL-PLANE TECHNIQUE
The technical ability and exquisite aesthetics of Dr. Ektor is a guarantee for all women looking for a symmetrical and natural result. Before each operation, the doctor, in collaboration with the patient, determines the type and size of the implant, as well as the exact placement of the incision (perimammary or inframammary), factors that affect the final result. This means that before deciding to proceed with the operation, patients are fully informed about all the options available to them by Dr. Ektor, who ensures that his patients' decisions are based on mutually agreed upon goals. Dr. Ektor applies the most modern and effective techniques to achieve a harmonious result in breast lift surgery. Nano-Augmentation is an innovative breast augmentation technique using the newest generation silicone implants, which are designed with nanotechnology and as a result have greater biocompatibility, combined with the detailed pre-operative planning required for their precise placement into the patient's chest. Nano-Augmentation with a small incision becomes a reality in the hands of Dr. Ektor. It is practically a pain-free surgery, while the implant is placed according to the special anatomical characteristics of the patient. In particular, the implant can be placed above or below the pectoralis major muscle or with a combination of the two positions through the dual-plane technique.
The dual-plane technique offers solutions in cases where there is a significant droopiness (ptosis) of the breast, but also a pseudo-drop of the lower pole or in tubular breasts, giving a fuller upper pole. In such cases it is also possible to use a supporting mesh (Galaflex biological mesh), which acts as an 'internal bra' to further strengthen the lower pole. Since the surgical procedure is performed completely atraumatically, no drains (tubes) are used, which significantly reduces the risk of post-operative infection, and therefore the creation of capsular contracture.

THE PROCEDURE
Breast-Lift augmentation is usually done under general anesthesia and lasts an average of 3-4 hours. The incision for insertion of the implant is placed in most cases in the inframammary fold, and is very small (3-4 cm), and when a breast lift is also needed, a periareolar and a vertical incision is made for skin gathering. However, Dr. Ektor is able to perform an excellent breast lift, without the need for an elongated anchor scar, by using only the lollipop incision, therefore minimizing post-operative scarring and avoiding future ptosis, due to destabilization of the inframmary fold usually seen in anchor-based techniques. Since the surgical procedure is performed in the hands of Dr. Ektor completely atraumatically, no drains (tubes) are used, which significantly reduces the risk of postoperative infection, and therefore the creation of a capsular contracture. Usually, there is no overnight stay in the hospital, and the patient returns to daily activities immediately. The sutures used are self-absorbable and thus do not need to be removed. A special bra is recommended for 6 weeks and abstinence from sport activities for 4 weeks. Nano-breast lift augmentation is performed in a precise and targeted manner, which significantly reduces post-operative pain. Patients are advised to refrain from driving for 10 days after the procedure

ERGONOMIC NANOTECHNOLOGY IMPLANTS

NANO-IMPLANTS
Silicone implants can be round, oval, or teardrop-shaped (anatomic implants) and are available in various sizes and projections. Round implants are typically used to increase fullness in the upper pole of the breast, while oval or teardrop shaped implants are designed to better mimic the natural shape of the breast with more fullness in the lower pole. Placement of teardrop implants requires a more advanced technique as it can have complications such as rotation of the implant and other undesirable aesthetic complications. A new development for women looking for the most natural look and feel are Ergonomic Implants. These implants have a basic round shape but automatically adopt the more natural shape of the teardrop when placed on the chest and when the patient is moving or standing. Also, an innovative solution is offered by the ergonomic implants with solid silicone gel (cohesive silicone gel implant) which maintain their round shape and are ideal for those patients looking for greater fullness in the upper pole, without the risk of the implant rotation. The outer surface of the new generation implants, designed with nano-technology, is unique as its advanced nano-surface promotes a more natural interaction between the implant and the surrounding tissue, allowing the implant to better harmonize with the normal breast movement. As a result, the risk of creating a thick capsule, i.e. creating a hard casing around the implant, is significantly reduced. This means less pain for the patient, as well as a reduced risk of the implant changing shape over time. The correct choice of the appropriate projection of the implants is a very important decision since it determines their volume in relation to the base of the implant, which depends solely on the chest diameter and the thickness of the gland. Using pre-operative 3D Simulation makes this decision easy with the patient feeling confidence & assurance!

BREAST-LIFT AUGMENTATION
In cases where there is breast ptosis (droopiness) and the patient desires a lift along with an improvement in breast volume, but the breast size is insufficient, augmentation-lift (augmentation-mastopexy) with silicone implants is indicated. If breast ptosis is significant (drop grade 3 or 4), and silicone implants must be used for satisfactory volume augmentation, it may be appropriate to perform the two procedures separately, so that the mastopexy is performed first, followed by the augmentation. surgery at a later stage (typically after 6 months). In cases where mild-to-moderate ptosis is observed and where augmentation-mastopexy can be safely achieved in one surgery, an important factor to be considered intraoperatively is whether augmentation should be performed before mastopexy or vice versa. The rationale behind the decision to perform breast augmentation prior to mastopexy (which is Dr. Ektor's approach of choice) is that it minimizes the risk of "running out" of excess skin, which can occur if mastopexy is performed first. In cases where the breast prolapse is minimal (pseudoprolapse), it is indeed very common to lift the breast to its normal position only with the use of implants and the modern dual-plane technique, which makes mastopexy surgery (and the accompanying scars) unnecessary. In +95% of cases Dr. Ektor is able to perform the augmentation-mastopexy procedure in only one surgery, with minimal scarring (i.e. avoiding the need for anchor scar), using advanced surgical techniques and careful pre-operative planning, therefore avoiding the need for a second operation.
CUSTOMIZED SOLUTIONS
The goal of Dr. Ektor is all about creating a naturally enhanced appearance and attractive breast shape, rather than simply focusing on breast size or implant volume. The size of the implant is actually the last parameter taken into consideration when planning the invasive procedure. The width of the base of the implant, its height and projection play a primary role, and only after the evaluation of these parameters is the volume taken into account. Accurate implant size selection and chest wall topography is achieved through careful preoperative planning, including multiple chest and gland diameter measurements, and 3D pre-surgical simulation. These play an important role so that the result is natural and in harmony with the patient's anatomical features, i.e. an enhanced breast with a gentle teardrop shape, simulating the harmonized natural breast with the ideal upper-lower pole volume ratio of 45:55% . Choosing the right implant is important to avoid complications, such as double bubble and kissing implants (synmastia), which are usually the result of using oversized implants. Of course, the fuller, more prominent profile is still a popular choice among patients, as long as the anatomy of the breast itself and the soft tissue characteristics of the breast can support it.
INTERNAL BRA SUPPORT
In specific cases, when a significant breast ptosis (droopiness) is observed, the biological Galaflex mesh can be used, which further strengthens the structure of the lower pole, through bio-resorption and the production of collagen, thus supporting the implant as an internal Bra. The internal bra support can be used both in primary and revision breast augmentation cases, as well as in breast-lift augmentation procedures with or without silicone implants.

BREAST-LIFT AUTO-AUGMENTATION WITHOUT IMPLANTS
In cases where there is breast ptosis and the patient desires a lift along with an improvement in breast volume and upper pole fulness, but she does not wish to have silicone implants, it is possible to achieve an excellent result through the Breast Lift Auto-Augmentation approach. In this procedure, which is an advanced form of mastopexy surgery, the lower pole of the breast is surgically separated in a precise manner from the rest of the breast gland, while at the same time maintaining its individual blood supply (pedicled flap). Then, this tissue is advanced upwards and secured under a special belt created out of the pectoralis major muscle, thus ensuring long-lasting support. This procedure is ideal for patients who have breast ptosis and adequate volume in the lower breast pole, but don't want to undergo a classic breast lift augmentation procedure with implants. The results are truly wonderful, and very often cannot be distinguished from breast lift augmentation with silicone implants. Moreover, Dr. Ektor is able to achieve this without the need for an elongated anchor scar, by using only the lollipop incision, therefore minimizing post-operative scarring and avoiding future ptosis, due to destabilization of the inframammary fold. In patients with significant breast ptosis who wish to maintain the full volume of their breast, but lift the breast higher, an internal bra (galaflex mesh) is recommended, which stimulates new collagen production in the lower pole, thus making it stronger in the future.
CUSTOMIZED SOLUTIONS
Breast augmentation can also be achieved without the use of silicone implants, with fat transfer when this available. Furthermore, lipotransfer can be combined with silicone implants (Hybrid Breast Augmentation Technique) so that the shape of the most difficult areas of the breast such as the décolletage and upper pole can be improved. Fat is usually removed from the abdomen or thighs and prepared through a special technique (centrifugation), before being transplanted into the breast. The fat can be combined with regenerative growth factors from the patient's own blood (HYPPP-Fill technique), which significantly improves the survival of fat cells, contributing to a better result. Also, the removal of fat through the Ultrasound-Liposuction technique (VASER / PROMELTER Cold-Lipoemulsion) guarantees that the adipose tissue removed is vital and rich in stem cells, so it is ideal for lipotransfer and for increasing the desired breast volume, without the need for silicone implants. The Hybrid Technique with lipotransfer can provide an excellent tool to improve the result when using silicone implants on small - empty breasts, especially for the décolletage and upper pole areas.